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HMBP 5/4/2017
FACILITY NAME INSPECTIOq DATE INSPECTION TIME "°un,.«+�dc •'8 T. `eye ' .. Y� ' 3...,r y.,.:+..: ... 4 - COMMENT ADDRESS .:. PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name/Title � a^° ��'1'Frs s r 3 k -, � ..'s"•.� �...'F�r.A e s a > ;Y .�,. �. � ,r:..4. . ,... z� 'r. -.... .✓? .. f .. ... ., .: . ...... < 4. , r� . ,. .�. .� :T X. 3 .,k'�. , �. ... ..Y:. .�. y+y ..a. ;-, r. ..,,_ �.�. ... vx .. \ .S. , - ... u, , , . .. .. ._-•,. .. a. .,.fim>, F=}: vim. -�.,. :..� ... .J , ^, �,. �- �', .r,, 1, ea^a .. >T z.`Y< r ><. -::,, ..?�: ,a F .'E.... '�. l'. �r -:�'�. 3 € E `� '�5"�s'v C Lx, . Y�* ,..�..c x : .r` .<r�.a �Z :, >, � � '".�� �. p �,s yY>��5 �>, : '.,�•?:.. ,..rte ,....,,.: rte:[' . <,. � , e, c., a «�,. £ : ..��,.. .aw5 � �: s '.wi : . s .+n.a. `Y r , ✓....,fi' ,'r ,Y` _ r .. z . ,v : , i. i : . - >.5 �... s., . ✓.. `k:v'3S`G. : , < �o � ram � . � and � , ,. r � .. :..,. K. �:n'. ��< x.�.�Y� � �� �� . , �. � , p/► i .ni :�wB�u`'s i � es P , . J, . � . ,� .. � �'•<,?rz.�r4xraS�wz ` �r•....., XS :�<r<...,.LU.�<s5�<„acv..w"�s. . EsX �'. �4'> ��> r., ���os�x�2' �2.` �% �4�, �, Gfzw t��%'.. �" �w' c�.. �' c��, m` �Z.. :>cuz.:"i�.'�LS/.sx :a��y,,.rwrr �d., 2rjr>, �- �ai�x.., �5. �k: s�• ��i;&: ty. ,+«;o-zs.>'<� >.x'�a�_:....:r.�si zsk:3K;xxYwa,.+K ,r. ....o ,. ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C- Compliance OPERATION CERS V= Violation;.1,11 Minor Violation COMMENT APPROPRIATE PERMIT ON HAND (BMC:15.65.080) 3010001' BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) CORRECT OCCUPANCY (CBC:401) VERIFICATION OF .INVENTORY MATERIALS (CCR: 2729.3) 1010004 VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 VERIFICATION. OF LOCATION (CCR: 2729.2) ` PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING i (CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007 r HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION `'" (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? "!AYES ❑ NO Sig nature ofReceipt Explain:.w w w f"j P �1r. {4zt rzt-r �i'Fyr aYq a *iPt _y I .� - Inspector: a POST INSPECTION INSTRUCTIONS: • Correct the violation(s) noted above by • Within 5 days of correcting all of the violations, sign and return a copy of this page to: ` Signature (that all violationsWhave been corrected as noted) Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Date White - Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8HI4)